Organization Active NPI

Waiters Chiropractic Wellness Center, LTD

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1275726002
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WAITERS CHIROPRACTIC WELLNESS CENTER, LTD
Practice address
217 E 31St St
Chicago, IL 60616-4667
Phone
(312) 326-4444
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Itasca Waiters, D.C
Title
President
Phone
(312) 326-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

217 E 31St St
Chicago, IL 60616-4667

Mailing address

217 E 31St St
Chicago, IL 60616-4667
Phone (312) 326-4444

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1275726002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164667",
            "telephone_number": "312-326-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164667",
            "telephone_number": "312-326-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAITERS CHIROPRACTIC WELLNESS CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "WAITERS",
        "authorized_official_first_name": "ITASCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-326-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.